Organization
FULL CIRCLE HEALING FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER NEIL PA (MEMBER)
(505) 820-1482
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE N9A, SANTA FE, NM 87505-2111
(505) 820-1482
(505) 982-0696
Mailing address
2019 GALISTEO ST STE N9A, SANTA FE, NM 87505-2111
(505) 820-1482
(505) 982-0696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-92
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03728021
—
NM
Enumeration date
08/31/2006
Last updated
01/30/2024
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